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The Journal of Immunology, 2004, 172: 4893-4901.
Copyright © 2004 by The American Association of Immunologists

CTLA-4 Blockage Increases Resistance to Infection with the Intracellular Protozoan Trypanosoma cruzi1

Gislâine Aparecida Martins*, Carlos Eduardo Tadokoro*, Roberta Borges Silva*, João Santana Silva{dagger} and Luiz Vicente Rizzo2,*,{ddagger},§

* Department of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil; {dagger} Department of Biochemistry and Immunology, School of Medicine of Ribeirão Preto-USP, Ribeirão Preto, Brazil; {ddagger} Fundação Zerbini, São Paulo, Brazil; and § LIM-60, Division of Allergy and Clinical Immunology, São Paulo University Medical School, São Paulo, Brazil

Recent studies have revealed an important role for CTLA-4 as a negative regulator of T cell activation. In the present study, we evaluated the importance of CTLA-4 to the immune response against the intracellular protozoan, Trypanosoma cruzi, the causative agent of Chagas’ disease. We observed that the expression of CTLA-4 in spleen cells from naive mice cultured in the presence of live trypomastigote forms of T. cruzi increases over time of exposure. Furthermore, spleen cells harvested from recently infected mice showed a significant increase in the expression of CTLA-4 when compared with spleen cells from noninfected mice. Blockage of CTLA-4 in vitro and/or in vivo did not restore the lymphoproliferative response decreased during the acute phase of infection, but it resulted in a significant increase of NO production in vivo and in vitro. Moreover, the production of IFN-{gamma} in response to parasite Ags was significantly increased in spleen cells from anti-CTLA-4-treated infected mice when compared with the production found in cells from IgG-treated infected mice. CTLA-4 blockade in vivo also resulted in increased resistance to infection with the Y and Colombian strains of T. cruzi. Taken together these results indicate that CTLA-4 engagement is implicated in the modulation of the immune response against T. cruzi by acting in the mechanisms that control IFN-{gamma} and NO production during the acute phase of the infection.




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